Joel P Sardzinski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

07743 Issued in IA

Practice address

1700 Blairs Ferry Rd
Hiawatha, IA 52233-2033

Phone

(319) 396-3596

Fax

(319) 378-0546

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joel P Sardzisnki, DDS & Associates, PC

  • General Practice Dentistry
  • Hiawatha, IA
  • NPI 1659442481
  NPD (past) Authorized official
• Brda PLLC

  • Dental Clinic/Center
  • Hiawatha, IA
  • NPI 1144617721
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346311131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BLAIRS FERRY RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332033",
            "telephone_number": "319-396-3596",
            "fax_number": "319-378-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BLAIRS FERRY RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332033",
            "telephone_number": "319-396-3596",
            "fax_number": "319-378-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDZINSKI",
        "first_name": "JOEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133264",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard William Russillo, M.D.
• Bailey Nicole Rustad, MA, CCC-SLP
• Brant Rustwick, MD
• Julie A Saddler, MD
• Timothy Sagers, MD
• Christina Sarrica, D.O.
• Lydia Sass, MA, CCC-SLP
• Kaitlyn Lea Schares, BCBA, LBA
• Shawn Lee Schwabe, PA-C
• Douglas T Sedlacek, MD

• General Practice Dentistry in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.